MRS. EVELYN THERESA CASTILLO-FUNDORA (NPI# 1447817556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447817556 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN THERESA CASTILLO-FUNDORA |
| Credential | L.S.P, ED.S |
| Practice Address |
13101 Sw 84th St Miami FL 33183-4323 |
| Practice Telephone | 3053024776 |
| Mailing Telephone | 3053024776 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
SS1395 | FL | Behavioral Health & Social Service Providers |
| Street Address |
13101 SW 84TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226171 | My School Psychologst, Inc | Psychologist | 13101 Sw 84th St, Miami, FL 33183-4323 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740842970 | Melissa Baker | Psychologist | 10855 Sw 112th Ave Apt 201, Miami, FL 33176-3292 | 2019-07-09 |
| 1164998878 | Joseph Yves Laforest | Psychologist | 540 Nw 165th Street Rd Ste 110, Miami, FL 33169-6304 | 2018-10-19 |
| 1427503507 | Academic, Behavioral, and Cognitive Testing Services LLC | Psychologist | 100 Biscayne Blvd, Ste 3040, Miami, FL 33132-2304 | 2016-08-18 |
| 1295280295 | Karen Michelle Zambrano | Psychologist | 100 Biscayne Blvd Ste 3040, Miami, FL 33132-2300 | 2016-08-18 |
| 1376995597 | Danielle Stock | Psychologist | 13040 N Calusa Club Dr, Miami, FL 33186-1704 | 2016-07-12 |
| 1144679812 | Maryann Dominguez | Psychologist | 4130 Sw 113th Ave, Miami, FL 33165-4644 | 2016-06-03 |
| 1104212752 | Jeheudi Mes Onyemachi Vuai | Psychologist | 11098 Biscayne Blvd Ste 401-25, Miami, FL 33161-7429 | 2015-04-10 |
| 1821410036 | Values & Strengths Psycho-educational Services, LLC | Psychologist | 78 Sw 7th St Ste 9-153, Miami, FL 33130 | 2014-01-08 |
| 1700140944 | Naama Rudin- Frishman | Psychologist | 8785 Sw 165th Ave # 103104, Miami, FL 33193 | 2012-07-03 |
| 1861768079 | Michal Borenstein | Psychologist | 10627 Sw 102nd St, Miami, FL 33176-2733 | 2012-04-02 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on MRS. EVELYN THERESA CASTILLO-FUNDORA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.